NORTHSTEPPE REALTY RENTAL APPLICATION
10 East 17th Ave.    Columbus, OH 43201   Phone: (614) 299-4110   Fax: (614) 298-7070

Property Address:_______________________________ Unit # ________  Date Available ___________

Lease Term _________  Monthly Rent: $________________ (plus utilities)   Security Dep.: $___________ 
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  APPLICANT'S NAME:______________________________________________________________________
                                              Last                                                                       First                                                      Middle

 Address:_________________________________________________________________________________ 
                     Street                                                                                 City                                         State                   Zip Code

 Social Security # ______-____-_______  Date of Birth_____________  Phone #_______________________
 Present Address:___________________________________________________________________________
                                    Street                                                                    City                                      State                      Zip Code

 Do you have pets?___________________  Have you ever declared bankruptcy or been evicted?__________
                                      Type        Age         Weight 

 Current Landlord: ______________________________________________  Phone #__________________

 Landlord's Address:_________________________________________________________________________
                                        Street                                                                  City                                 State                   Zip Code

 Applicant's Employer: ________________ Contact Person:________________  Phone:__________________

 Applicant's Supervisor: _________________ Length of Employment:_____  Monthly Income: $____________
 
 Parent/Guardian or co-guarantor:______________________________________  Phone #_____________

 Address:__________________________________________________________________________________
                    Street                                                                                 City                                         State                   Zip Code

 Social Security #_______-_____-________  Annual Household Income: $_____________________________

 Employer: __________________________  Supervisor: _____________________ Phone # ______________

 In case of an emergency, person to notify ______________________________________________________
                                                                                    Name                                                                                      Phone

The Applicant hereby deposits with owner/agent the sum of $_____________as deposit on the above premises pending execution of a lease Agreement.  I understand that my deposit is non-refundable and will be forfeited if this application is approved and I am unable to fulfill the conditions of the lease agreement.  The deposit will be returned if this application is not approved, providing all the above questions are answered correctly and truthfully.  
The Applicant hereby grants permission to the owner/agent to verify the validity of all the above statements to be true and correct, I understand that this application does not constitute any oral or written commitments on the part of the owner/agent.  The Applicant represents the above information to be true and correct.  A payment of $30.00 is included herewith, which payment is made for the purpose of verifying the information included on this application.  I understand this charge will not be applied to future rent or refunded, even if the application to rent is declined.  Applicant understands that the owner/agent may terminate any rental Agreement entered into for any misrepresentation made above.
Lease agreement must be completed, including all signatures, and returned to our office within ten days or the Lease Agreement may be cancelled at Management's option. 

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____________________________________________________________________
APPLICANT’S SIGNATURE                                                                      DATE

____________________________________________________________________
PARENT/GUARDIAN’S SIGNATURE                                                        DATE